COUNTY OF SAN DIEGO CHILDREN, YOUTH AND FAMILIES (CYF) BEHAVIORAL HEALTH SYSTEM OF CARE COUNCIL Behavioral Health Services MEETING MINUTES January 12, 2015 9:00-10:30 A.M. 3255 Camino Del Rio South La Jolla Room =Member in Attendance O =Absent E =Excused CONSTITUENCY MEMBER STATUS ALTERNATE STATUS PUBLIC SECTOR 1 Mental Health Board Julie Martin VACANT 2 Behavioral Health Services Laura Vleugels, M.D. Jean Avila (BHS) 3 Probation Michael Adkins Margie Deleon 4 Child Welfare Services Debra Zanders-Willis Barry Fox 5 HHSA Regional Marie Brown- Judy Benson Representative Mercadel 6 Juvenile Court H. Judge Carolyn Michelle Johnson Caietti 7 First 5 Commission Kim Medeiros Amy Menolez EDUCATION SECTOR 8 SELPA VACANT Carolyn Nunes 9 Regular Education Mara Madrigal-Weiss Don Buchheit Pupil Personnel Services 10 School Board Barbara Ryan Carol Skiljan 11 Special Education Shirley Culver Aidee Angulo 12 San Diego Regional Center for Developmentally Disabled 13 Alcohol and Drug Contractors Association PRIVATE SECTOR Carlos Flores Dan Clark Elizabeth Urquhart Angela Rowe 14 Mental Health Contractors Association 15 Mental Health Contractors Barent Mynderse Dixie Galapon Association 16 SANDAN Margaret Iwanaga- Penrose 17 Fee-For-Service Provider Mary Clark, Ph.D. Karen Zappone, Ph.D. Steve Jella Delrena Swaggerty Rosa Ana Lozada 18 Wraparound Constituency Delrena Swaggerty Carrie Kintz 19 Healthcare Provider Dr. Pradeep Gidwani 20 Family and Youth Roundtable (FYRT) FAMILY AND YOUTH SECTOR Donna Ewing Marto Melinda Furfuro
21 Youth Special VACANT VACANT Education/Mental Health 22 Family Receiving Services Debbie Stolz Pam Toohey 23 Youth-Representing Residential and/or Juvenile Justice Staff Support: Yael Koenig, Edith Mohler, Grisel Ortega Presenter: Dr. Daniel Singley I. Welcome and Introductions (Barry Fox) II. Approval of Minutes- November 10, 2014 (Mara Madrigal-Weiss) Approved. III. Public Input (Barry Fox) None. Sarah Pauter Stacey Stevens COMMITTEES (Non-voting members unless a member of the Council) - Outcomes Committee Angela Chen - Executive Committee Barry Fox - Early Childhood Ali Freedman Committee - Education Committee Mara Madrigal-Weiss IV. Director s Report (Alfredo Aguirre) A. Drug Medi-Cal BHS staff is working on the development of proposed Per-User rate for Drug-Medical to be submitted to the Department of Health Care Services (DHCS). San Diego will have the ability to address these rates, if opts to participate in the 1115 Demontration Waiver amendment. Counties that opt to participate in the 1115 Demonstration Waiver amendment will have to develop a comprehensive implementation plan that includes community input. If San Diego decides to participate, it will use the current community input structure; meetings with Alcohol and Drug providers and other stakeholders, including the councils. The 1115 Demonstration Waiver offers an opportunity to provide innovative ways to deliver residential treatment while meeting the requirements of the Institutions for Mental Disease (IMD) exclusion. Monthly updates on the progress of the project will be provided. B. Children In Foster Care- Out of County Children advocates continue to express concern about Out of County access and high quality services for children in the Foster care system. In San Diego, Optum Health has done an excellent job in finding providers in other counties. Additionally, San Diego continues to ensure timely payment to providers. However, there are policies that impact these services as other counties have different systems when delivering mental health services to Out of County foster children and youth. The County of San Diego is doing well in this area but there may be policies that impact us because other Counties in California don t have the same organization in their systems for serving children.
V. Business Items A. CWS-Hotline (Lynn Amabile, Protective Services Program Manager) During the September and October, 2014 months, the hotline experienced triple the amount of call volume. No reason has been found for this increase. However, almost all southern California experience an increase in call volume. In October 2014, four additional staff where added to the hotline to mitigate the wait times. In November, 2014 the hotline calls went back to the regular call volume. For mandated reporters the best time to call the hotline is before 2:30 P.M. and after 6:00 P.M. Normal wait time is from 2 to 10 minutes. B. Trauma Informed Services Children s System of Care Principles Language- Update (Sarah Pauter) The Trauma Informed Ad Hoc Committee worked on updating the background and inclusion of Trauma Informed language. The committte is now working on revising the Vision and Mission language to clarify who the audience is and will look at the rest of the document for necessary updates. C. Psychotropic Medications/Treatment Authorization Request (TAR) (Dr. Laura Vleugels)- Handout A number of statewide organizations sent a letter to the Director of California DHCS to express concerns about the Under 18 Antipsychotic TAR policy. No response from the State has been received as of yet. C. Pathways to Well-Being (PWTW) (Laura Colligan) Trainings- Handout In 2014, two full day-four modules trainings were held from March through October 2014. Feedback received was to condense the training to one day. In 2015, one day trainings will be held from January through June 2015 throughout the county to facilitate the attendance of CWS social workers and behavioral health clinicians. Website- Handout PWTW staff worked closely with the Academy of Professional Excellence to develop a a website that includes PWTW general information, training schedules, and links to tools and forms and links to State Katie A. Settlement Implementation document and Core Practice Model Guide. This website can be accessed at: http://theacademy.sdsu.edu/programs/bheta/pathways.html Focus Groups PWTW Implementation focus group was held in December, 2014 and another one will be held this month. Court Jurisdiction Update Katie A. Court jurisdiction ended December 1, 2014, the State will continue to provide oversight. A progress report is due in April, 2015. The State is also considering rebranding the Katie A. name and is considering a Performance Improvement Plan to evaluate quality of services and outcomes. D. LGBTIQ Statistics (Dasha Dahdouh)- Handout Sexual orientation is largely under reported not only in the County of San Diego but nationwide. Data shows that in San Diego County in FY 11-12, 67% of the clients did not provided an answer to sexual orientation. In FY 13-14, 53% of the clients. Some studies show that many clients do not report their sexual orientation. Also some clinician are not comfortable asking clients for their sexual orientation. The County of San Diego continues to work meeting the needs of this population, including the LGBTQ Cultural Competence Academy and the CWS transgender workgroup. E. Coordination of Care with Medi-Cal Managed Care Health Plans (Yael Koenig)- Handout F. BHS Procurement List- Handout
VI. Mental Health Services Act (MHSA)- Update (Gary Ulmer-Goodrich)- Handouts Evening Mental Health Services Act Community Program Planning Sessions will be held to obtain feedback and input on mental health programs funded by the MHSA for fiscal year 15-16. These sessions are scheduled as follows: Tuesday, January 20, 2015 from 6:00-7:30 P.M. at the North Park Adult Recreation Center- 2719 Howard Street, San Diego, CA 92104 Wednesday, January 21, 2015 from 6:00 to 7:30 P.M. at the Chula Vista Women s Club- 357 G Street, Chula Vista, CA 91910 Thursday, January 22, 2015 from 6:00 to 7:30 P.M. at the Vista Library- 700 Eucalyptus Avenue, Vista, CA 92084. To register contact Gina Brown at (619) 563-2762 or gina.brown@sdcounty.ca.gov For more information about MHSA visist www.sandiego.camhsa.org or call (888) 977-6163 VII. Men s Perinatal Mental Health Presentation (Daniel Singley, Ph.D.) Introduction by Dr. Laura Vleugels PowerPoint presentation by Dr. Singley, clinical psychologist on men s perinatal health. Meeting Adjourned. VIII. Sector Brief Highlight Report by Representative (Attached if provided) A. Education (Meets Quarterly the 4 th Tuesday of the month-la Vista room-11:30 A.M. to 1:00 P.M.) (Mara Madrigal-Weiss) B. Family and Youth (Meets the 4 th Thursday of the month- 3:00-5:00 P.M. For more information call 619-546-5852) (Sarah Pauter/Donna Marto) Provided an Engaging Family and Youth 2013-2014 Year in Review Report- Handout C. Private (Currently meeting the 4 th Wednesday of the month-1:00-2:30 P.M. at the Council of Community Clinics (Delrena Swaggerty) D. Public ADS (Elizabeth Urquhart) Probation (Michael Adkins) CWS (Barry Fox)- HHSA Region (Judy Benson) Juvenile Court (Michelle Johnson) First 5 Commission (Amy Menolez) SD Regional Center (Dan Clark) IX. Announcements Faith Based Initiative Industry Day is scheduled for January 22, 2015- Handout Moment to Moment: Teens Growing Up with (Fetal Alcohol Spectrum Disorders) FASDs- Flier 29 th Annual San Diego International Conference on Child and Family Maltreatment- Infant and Early Childhood Mental Health Track- Handout X. Action Items Action Items Action By Action Due Trauma Informed Care Principles Language February, 2015 Sarah Pauter update Adult and Older Adult SOC Principles February, 2015 Sarah Pauter Language review for the update of the Mission and Vision of the Children s SOC Principles Number of Children/Youth receiving Pathways to Well-Being services February, 2015 Laura Colligan
Strengths and Difficulties Questionnaire (SDQ) Roll out- Date FYs 2011-12 and 2013-14 Client Sexual Orientation data by age February, 2015 April, 2015 Laura Colligan Dasha Dahdouh Sexual orientation data in school districts February 2015 Mara Madrigal-Weiss Tranings available for LGBTQ Grid February 2015 CYF Staff Committees/Sectors/Workgroups Meetings Information: Outcomes Committee: Meets the first Tuesday of the month-del Mar Room-1:00 to 2:30 P.M. Early Childhood Committee: Meets after this meeting-la Jolla Room-10:30 A.M. to Noon. Education Advisory Committee: Meets the 4th Tuesday of the month-la Vista Room-11:30 A.M. to 1:00 P.M. TAY Workgroup: Meets the fourth Wednesday of the month-la Jolla Room-3:30 to 4:30 P.M. CYF CADRE Sub-Committee: Meets quarterly-2 nd Thursday of the month-del Mar Room.-1:30-3 P.M. CCRT: Meets the first Friday of the month-la Jolla Room from 10:00 to 11:30 A.M. Family and Youth Sector: Meets the 3 rd Tuesday of the month-5:00-6:30 P.M. Information at 619-546-5852 Private Sector: Meets the 2 nd Monday of the month- Bonita Room- 8:15 to 9:00 A.M.